Goodman, Joan Marie
Goodman, Joan Marie is an individual health care provider with primary practice located at 383 S. Park Ridge Rd. Ste 102, Bloomington IN 47401-8574. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Goodman, Joan Marie can be contacted via phone (812) 330-5250.Contact Information
Primary practice address
383 S. Park Ridge Rd. Ste 102
Bloomington IN 47401-8574
Phone: (812) 330-5250
Fax: (812) 330-5240
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71000412A | Indiana |
Profile Details
NPI number | 1700065505 |
---|---|
LBN Legal business name | Goodman, Joan Marie |
Credentials | RN.C., W.H.N.P. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 29th, 2007 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700065505 | NPPES |
Indiana | Other | 71000412B | IN PROFESSIONAL LICENSING AGENCY |
Indiana | Other | 71000412B | IN PROFESSIONAL LICENSING AGENCY |
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